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Multiple coronary to pulmonary artery fistulas: a case report and review of the literature

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Abstract

Coronary to pulmonary artery fistulae (CAF) are rare cardiac anomalies. The majority arise from the right coronary artery, with fistulae originating from the left anterior descending artery or from multiple arteries being less common. CAF are frequently asymptomatic and found incidentally on routine cardiac imaging. We present the case of a 61-year-old woman with multiple CAF who presented with progressive shortness of breath and chest pain and was ultimately treated successfully with trans-catheter coiling with marked improvement in symptoms. We also review the currently available literature regarding advances in diagnosis and treatment of CAF.

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Authors and Affiliations

  1. Division of Cardiovascular Medicine, University of Toledo Health Science Campus, 3000 Arlington Ave., MS 1118, Toledo, OH, 43614, USA

    Mohammed M. Taleb, Mujeeb A. Sheikh, Christopher J. Cooper & Jodi L. Tinkel

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  1. Mohammed M. Taleb
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  2. Mujeeb A. Sheikh
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  3. Christopher J. Cooper
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  4. Jodi L. Tinkel
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Corresponding author

Correspondence to Jodi L. Tinkel.

Electronic supplementary material

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12928_2012_96_MOESM1_ESM.avi

Video 1: Angiographic image of the fistula from the left anterior descending coronary artery to the main pulmonary artery acquired in the RAO cranial projection. (AVI 2084 kb)

12928_2012_96_MOESM2_ESM.avi

Video 2: Angiographic image of the fistula from the left anterior descending coronary artery to the main pulmonary artery acquired in an RAO caudal projection, after coil embolization of the largest branches with Cook Tornado® and Nest® 0.014 in. microcoils (AVI 2621 kb)

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Taleb, M.M., Sheikh, M.A., Cooper, C.J. et al. Multiple coronary to pulmonary artery fistulas: a case report and review of the literature. Cardiovasc Interv and Ther 27, 127–130 (2012). https://doi.org/10.1007/s12928-012-0096-1

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  • DOI: https://doi.org/10.1007/s12928-012-0096-1

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